Cuellar Celia Martínez de, Lovera Dolores, Merlo Oscar, Arbo Antonio
Instituto de Medicina Tropical, Paraguay.
Rev Chilena Infectol. 2020 Aug;37(4):356-361. doi: 10.4067/S0716-10182020000400356.
Since the end of the 20th century, dengue has periodically devastated Paraguay. Its high morbidity and mortality translate into a high global socio-economic impact and a high burden on health care systems.
To determine the economic cost and burden of dengue in Paraguay.
The direct and indirect costs of dengue were estimated in both outpatient and hospitalized cases. Likewise, the years of life adjusted for disability (DALY) were calculated from the sum of the years of life lost (YPLL) due to premature mortality in the population and years lost due to disability (DVSP).
The unit cost per ambulatory case was US dollars 52.5 and for hospitalized patients US dollars 300 with a total cost for the 4 years of US dollars 276,804.864 and US dollars 23,236.45, respectively. The AVPP were 18,469.7 per million inhabitants; the DVSP of 185,835 and the DALYs 32,676 years per million inhabitants.
Dengue imposes considerable costs for both the health sector and the economy in general in Paraguay.
自20世纪末以来，登革热疫情在巴拉圭周期性爆发，造成严重破坏。其高发病率和高死亡率对全球社会经济产生了重大影响，也给医疗系统带来了沉重负担。
确定登革热在巴拉圭造成的经济成本和负担。
对门诊和住院病例的登革热直接和间接成本进行估算。同样，通过计算因人群过早死亡导致的寿命损失年数（YPLL）和因残疾导致的寿命损失年数（DVSP）之和，得出伤残调整生命年（DALY）。
门诊病例的单位成本为52.5美元，住院患者为300美元，4年的总成本分别为276,804.864美元和23,236.45美元。每百万居民的AVPP为18,469.7；DVSP为185,835，每百万居民的DALYs为32,676年。
登革热给巴拉圭的卫生部门和整个经济都带来了相当大的成本。
